Journal
SINGAPORE MEDICAL JOURNAL
Volume 58, Issue 7, Pages 360-372Publisher
SINGAPORE MEDICAL ASSOC
DOI: 10.11622/smedj.2017064
Keywords
advanced cardiac life support; cardiac arrest; cardiac drugs; cardiopulmonary resuscitation; reversible causes
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The main areas of emphasis in the Advanced Cardiac Life Support (ACLS) guidelines are: early recognition of cardiac arrest and call for help; good-quality chest compressions; early defibrillation when applicable; early administration of drugs; appropriate airway management ensuring normoventilation; and delivery of appropriate post-resuscitation care to enhance survival. Of note, it is important to monitor the quality of the various care procedures. The resuscitation team needs to reduce unnecessary interruptions to chest compressions in order to maintain adequate coronary perfusion pressure during the ACLS drill. In addition, the team needs to continually look out for reversible causes of the cardiac arrest.
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